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Moylena, Muckamore Abbey Hospital - Regulation and Quality ...

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There were a number of restrictive practices being implemented by ward staff<br />

in response to assessed needs of patients. The patients’ care records<br />

reflected risk assessments <strong>and</strong> care plans in relation to restrictions. However,<br />

as patients were receiving care in groups, there was evidence of some<br />

patients experiencing restrictions due to the needs of their peers.<br />

There were records of physical interventions used on the ward <strong>and</strong> evidence<br />

of these being audited. Physical intervention records also highlighted the use<br />

of restraint for a patient who required support to provide a blood sample. The<br />

patient’s rights were discussed at length with ward staff <strong>and</strong> a<br />

recommendation was made in relation to safeguarding the rights of patients<br />

who lack capacity to consent to interventions.<br />

All patients on the ward were noted to require significant support to manage<br />

their finances. The ward maintains procedures for safeguarding patients’<br />

money <strong>and</strong> property. It was recommended that all staff receive training in this<br />

area <strong>and</strong> that the procedures are fully implemented.<br />

In the course of this inspection a number of concerns were noted <strong>and</strong> outlined<br />

within the report. These relate to: the quality of the ward environment; care<br />

practices; activities; nursing documentation; leadership; quality of life <strong>and</strong><br />

learning <strong>and</strong> development. These issues were discussed at a feedback<br />

meeting at the end of the inspection with senior hospital staff.<br />

The inspectors would like to thank the patients, hospital staff <strong>and</strong> relatives<br />

who participated in the inspection.<br />

7

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